Food Addiction

Inventorying Food Slips

Book Two in the series by Phil Werdell now on Amazon

Food Slip CoverFor those starting food addiction abstinence and for those experiencing chronic breaks in abstinence or relapse, many of those in ACORN’s network have found it useful to do rigorous food slip inventories and create very specific practical changes that a food addict can make the next day – physically, emotionally, mentally and spiritually.

In recent years this recovery tool has been shared broadly among recovering food addicts and by physicians, dietitians, therapists and other health professionals. Now, Phil Werdell has written a short book based on his long-time experience using food slip inventories in his own recovery and professionally in ACORN. Dr. Beth Rocchio, a bariatric physician and Director of Integrated Weight Loss, adds a new preface.

Fat is Not a Feeling

“I’m feeling fat.” How often have I said that to myself? Usually I follow that statement with a litany of everything that’s wrong with the way I eat. What I do with food, how “bad” I was when I ate (fill in the blank), that I must change how I eat so I can lose weight and then everything will be great. Then I pump myself up with promises (“here’s what I’m going to do to FIX this”).

I end up eating again because I continue to act the same way, despite the promises, or give in to the despair and stuff myself to feel better about feeling fat. (Only a food addict will tell themselves that bingeing will make them feel better about feeling fat!) That’s my best thinking, and it doesn’t change the way I act.

“Feeling fat” is a lie I’m telling myself. I’m really not feeling fat. I’m feeling a lot of self-hatred and despair because I can’t control myself.

When I feel despair about what I do with food, that’s because I believe that I can control my food and fix myself, so I’m just totally screwing up and will have to try again (or just give up). If you’re feeling desperate, appalled and depressed about how you live with food, then you believe that somehow you can fix your actions with your thinking.

Notice two words in that last sentence: “believing” and “thinking.” We food addicts tell ourselves lies all the time about what we think and how we act with food. It’s addictive thinking that has nothing to do with reality, it just enables us to keep eating. For example:

I can have just one

In that moment, I believe I can have just one. I believe it with every thought. In that moment, there’s no room for any other thought or belief. I tell myself a lie (because I can’t eat just one) that I totally believe. Then I act upon that thinking: I eat one (and another, then another and then the horror begins). The moment I believe I can have just one is the moment I am powerless.

How can I stop myself from believing I can have “just one” at that moment when I’m about to eat something that will make me go insane for days, weeks, months or years? In the AA Big Book, they call this a “strange mental blank spot.” They also call it “just plain insanity.” We believe something that has NO basis in fact.

It’s a delusion, and food addicts have it. We have it when we’re happy, sad, angry, scared, any time at all. I’m as likely to have that belief at a celebration as at a funeral. And the results are always the same.

When I can accept that my thinking is fatally flawed (after all, this disease will kill me), then, paradoxically, I’m on the way to recovery. Because there is a solution, and it starts with changing my mind. It is, as the Big Book says, a psychic change.

Almost everything we believe about ourselves and our food when we come into recovery is wrong. We need a lot of help to recognize our addictive thinking and start dismantling the lies we tell ourselves. It’s a long-term process and it starts, of course with getting abstinent. During ACORN’s Primary Intensive©, we focus on helping food addicts to do just this, because this is at the core of Step One: abstinence and acceptance.

Accepting that we are powerless over food is the most powerful thing we can do.

Believe it or not, this is GREAT. Because when you can see that being powerless is the truth, you won’t end up in the food. You don’t have to take on the horrible responsibility of trying to fix yourself by yourself because you know, fundamentally, that it’s not possible. You don’t have to keep trying and failing, over and over again. You can let that whole “feeling fat” litany just go.

It’s a totally different way of thinking, isn’t it? Acceptance is very different from despair. In the recovery rooms, there’s a saying: “Awareness, acceptance, action.” They all go together, in order, for real healing to happen.

Of course, acceptance is not enough. I have to take action, otherwise nothing changes. If all the changes I’ve made by myself to fix myself haven’t worked, what could I possibly do differently?

I believe I’ve tried everything. (There’s that word again: “believe”). That’s the lie I tell myself, because I’ve really tried only what I wanted to try. Everything else, of course, “wouldn’t, or didn’t work.”

Time to let go. Let go of thinking that you know everything about how to be “normal” with your food. You may believe that, but the fact is nothing you know has helped you. So, consider: you may be (gasp!) wrong.

The action we need (we may not want to, that’s for sure!) to take is accepting help from other people. It’s not help on my terms: it’s following directions from someone who understands food addiction and has experience in being abstinent. After awareness, acceptance and action comes: willingness.

Now you are truly moving through Step One: I am aware that my thinking about food is fatally flawed, I accept that I am a food addict and this is how my thinking works, and finally, I am taking the action of getting help and being willing to follow directions.

Congratulations! You won’t have to “feel fat” any more.

Principles of Recovery

Below is a list of Principles of Recovery by ACORN Food Dependency and Recovery Services.


  • If you already have a food plan that works, i.e. one on which you have been abstinent 30 continuous days without cravings, don’t change it.
  • If you need a food plan, find a person with strong abstinence and ask them to be your sponsor. Begin with the food plan your sponsor uses, or try the ACORN Healthy Eating Plan.
  • Identify and eliminate all binge foods and any food that triggers bingeing, purging or restricting. You may need help from other food addicts to do this.
  • If you binge on almost any food, or if you tend to overeat or under-eat food, or if you have trouble estimating portions, then weigh and measure your food. (If you are primarily anorexic and your condition is advanced, surrender to having someone else make your meals and/or decide each meal what and how much you should eat.)
  • Make sure your food plan provides overall nutritional balance by consulting with a doctor, dietitian or eating disorders specialist about nutritional balance.
  • Put down unhealthy eating behaviors, e.g., diet pills, skipping meals, fasting, vomiting, eating while driving, grazing between meals, eating in front of the TV, using laxatives, and eating too fast or too slow.
  • Don’t make a decision about what a normal weight will be for you alone; surrender to consulting a health professional and/or someone with strong recovery; let them decide.
  • Do not make decisions about food alone. Check your food plan and any changes you want to make in it with an abstinent food addict whose recovery you trust (ideally, your sponsor), and/or a health professional with success helping food addicts.
  • As with other chemical dependencies, the first principle of food addiction recovery is “abstinence first, absolutely.”

©Philip R. Werdell, 1995
Revised 2009, with A.E. Heald.

Levels of Denial

Food addicts experience denial at different levels: inability to distinguish between hunger and the false starving impulse of physical craving, confusion between sane thinking and the false rationalizations associated with compulsions regarding eating, and distortion of will and sense of self in relationship to food and life as a whole. Before we look at each of these inter-related levels of denial in depth, it’s useful to see that there are three quite different definitions or types of denial: common denial, psychological denial, and addictive denial.

Common Denial

Common denial occurs when someone tells a conscious lie. For example, I ate the rest of the ice cream in the freezer, and then I told someone in my family that I was not the person who ate it.

Normal eaters may have done something like this once or twice in their lives. Food addicts do it all the time. I have done it much less in recovery, but I still find myself considering lying about food quite often. Occasionally, I still lie about food. I haven’t binged on ice cream for a long time, so my food lies are now likely to be about whether or not I am rigorously abstinent. When I do notice that I have lied, I acknowledge my lie and correct it quickly. (Thank you, God). While normal eaters may lie about other things, they seldom experience such pervasive lying or common denial about their food.

Psychological Denial

Psychological denial occurs when the mind represses a prior experience because of some form of overload. For example, before I got into recovery, I used to tell people that I was never physically abused as a child. I thought this was true. Then one day as a part of my deep work (i.e. being with emotions and letting move through and out of me), I was feeling afraid, and, as I stayed with the experience, the memory returned of my father striking me in the face.

When I asked my father if this could ever have happened, he admitted that it was a frequent occurrence when I was young until our doctor told him that this was an inappropriate way to “discipline” a child. When I talked about these “spankings” with my mother, she said that once she had been fearful that my father would kill me. In short, I was physically abused as a child.

Unresolved psychological traumas from childhood are often underlying problems in serious eating disorders. There is usually some form of physical, emotional, sexual or spiritual abuse, though it is not always repressed. When the feelings are acknowledged and felt, the eating problem often goes away; the problem eater slowly returns to being a normal eater.

In my case, I did work through the feelings and the psychological denial faded, but I continued to have a very serious problem with my food. I was confounded by this experience until I learned that I was a food addict.

Addictive Denial

Addictive denial is not normal, and it is not caused by psychological repression. Rather, it is a biochemical phenomenon that is an integral part of the addictive process.

For example, before I got into recovery, I lived with frequent, strong urges to eat large volumes of food, especially foods that I had binged on previously. As this problem progressed, I developed what seemed to me to be uncontrollable urges to eat before and after I had finished a large meal, even when I was so stuffed that knew it would be very uncomfortable to eat any more. At the time, I thought that this was hunger, but now I know was not normal hunger.

Further, when I considered putting down my binge foods, I really believed that I could not live without them. When at the suggestion of other food addicts I did put all my binge foods down (and went through a period of physical detoxification), my food cravings diminished almost completely and the thought that, “I will die if I don’t eat,” also went away. I continued to have difficult feelings come up from time to time, but I now see my food addiction as separate from and primary to these trauma-based feelings.

Similarly, I see my addictive denial as interrelated with common denial and psychological denial but also distinct and primary.

False Starving

It is my belief that food addictive denial, like the denial associated with chemical dependency on other addictive substances such as alcohol or drugs, has three layers: the false starving experience, false thinking which rationalizes overeating, and a false sense of self. What is common to all these levels of denial is that the food addict is at times powerless to see that these thoughts are not true. Unlike in common denial, the problem is that the lies or false thoughts are unconscious. Unlike psychological denial, though, the problem cannot be worked through in traditional therapy. Food addicts in their disease believe that what they are experiencing and thinking is the real truth, and it is a problem of the body as well as the mind.

The false starving experience of the food addict is a distortion in the brain much like dyslexia or color blindness. Food addicts believe they are starving, i.e., that they have to eat or something horrible will happen, when by all objective measures this is not true.

Normal eaters do not ever have this experience, but almost every food addict reports it. Though the words describing it may vary, the experience is incredibly close to how starving people react. They find themselves thinking about food more and more – eventually thinking of little else. There is a strong sense of urgency about eating. It becomes more important than anything else. Finally, starving people will break personal and social norms to get food, norms that they would never consider violating when not in the grips of this physical craving. Often without thinking, food addicts will lie, cheat, steal and at least say to themselves that they are “dying “ to eat.

What distinguishes food addicts in this state from people who really are starving, of course, is that there is absolutely no chance that they will die. As recovering food addicts are fond of saying, “No one has ever starved to death between lunch and dinner.” At the same time, food addicts need to constantly be reminded of this fact because, if their physical craving is reactivated, they will again have the thought that eating something they really don’t need is vital to their well-being, and the thought will be believable. That is what it means to have an experience of false starving.

Just as the dyslexic person cannot change the way their brain inverts letters in certain words and just as color blind people will never see colors as normally sighted people see them, food addicts cannot simply decide to change the false starving thoughts in their minds. What they can do is to stop eating the foods, e.g. sugar, that most reactivate their condition.

It is the same initial first action that alcoholics and drug addicts must take, that is, to totally abstain from the substances to which they are addicted. However, this does not change what will eventually happen in their mind if they pick their drug of choice again. The situation is identical for food addicts.

False Thinking

The problem of the food-addicted mind is complicated by the development of further false thinking that rationalizes overeating. This is talked about by recovering food addicts this way: “If the problem was just one of abstaining from foods which activate a false starting response, it would be easy, but the food addicted mind begins to keep the food addict from remembering and acting on this important information.”

We don’t know exactly how this works, but it is as if the distorted hunger instinct is working unconsciously all the time in the instinctive part of the brain. It is trying to find a way through the conscious part of our thinking that would oppose the idea of taking that first bite if we could fully remember the negative consequences of binging. The results would be clear to an undistorted mind: unwanted fat, depression, lowered self-esteem, and much more. These are always the eventual result of taking the first bite, but the physical craving of a food addict becomes stronger than the unaided rational mind.

At one point the food addict is without defense and cannot say “No.” It is as if the biochemical stimulus of the craving is just as strong as a general anesthetic is for a patient on the operating table. Before the operation, the patient could simply say, “No, I do not want to be put under.” However, at one point on the operating table after a certain amount of the chemical has taken effect, the patient it powerless to stop the process.

The food addict does remain conscious when bingeing, at least partially. However, another part of the mind is creating rationalization for the eating “I’ve had a hard day, so I deserve it.” “This is a celebration. I can have a little.” “I’m experiencing too much pain. I need to eat.” “I’ll just have one.” “I’ll diet tomorrow.” In each case, the rationalizations are not true, at least not sufficient to offset the consequences of eating. The food addict develops a long history demonstrating that the proposition is not true, but still, over and over again, the food addict believes each rationalization. It is this reoccurring pattern of believing a thought is true despite substantial experience to the contrary that makes recovery from any addiction so difficult. Recovering food addicts often refer to this experience of believing false thought as “stinking thinking” to distinguish it from a reasonable mistake or an ordinary error in judgment.

Sometimes, as in alcoholism and drug addiction, there is no rationalization at all; just what recovering addicts refer to as a “strange mental blank spot.” The food addict will just have the thought that a food they had previously eliminated “might taste good.” There is no thought at all of previous commitments not to eat this food or of the severe physical, emotional and spiritual consequences in the past when it was eaten. While few food addicts have complete blacks outs as some alcoholics do, food addicts in whom the disease is more advanced do report times when they will have completely forgotten having eaten something that very day, even at their last meal. They will look down at their plate expecting a certain food to be there, and it will be gone. Much more common for the food addict is the experience trying to keep the food under control, being successful for a while, then suddenly being back in the food, as it is often said “binging my brains out,” and simply not having the slightest idea of how it happened.

Another form of false thinking common to food addicts is body image and food quantity distortion. It is very common for obese people to not think that they are as heavy as they really are, just the opposite problem of anorexics who are dangerously thin but think they are fat. Similarly, research shows that about 20% of overweight people who are rigorously trying to diet think they eat less food than they actually eat. Just as many underweight people really believe that they are eating more calories than they actually are consuming. This mental distortion is often so deep that those who have it will sometimes vehemently argue that their own thinking is not false, even against evidence everyone else sees as contradicting their belief. It is much like alcoholics who have had several DUIs, but still believe that they can control their drinking.

The most common form of false thinking denial for food addicts is euphoric recall.

Simply put, the positive aspects of a prior eating experience will be remembered in vivid, mouth-watering detail, but even drastic negative consequences will be forgotten or will be so faded as to have little or no effect on the decision-making process. Examples here are many: remembering how good a particular kind of donut tasted but not what it felt like the last time after eating a whole box of them; remembering a time when you were able to keep your eating under control but not that it was followed by a 25-pound weight gain; being sure that over-eating just this once will numb the pain but forgetting that this only lasts for a couple of minutes and then you have to do it again; having a sense of being in control and making a choice to eat this time and not even expecting to slide into the chasm of despair that so regularly follows addictive overeating. There are few food addicts who don’t have a whole bunch of these stories, yet this alone will seldom keep them from experiencing and acting out of euphoric recall in the future.

The False Self

For food addicts who have not yet found a path of recovery, it gets worse: the most advanced food addicts have developed and live most of their lives in a false consciousness or false self. As food becomes one of the most important, if not the most important, thing in their lives, the false starving of physical craving increases and the irrational, false thoughts of rationalizations become so pervasive that these false ideas begin to be confused as the food addict’s self.

When experiencing a false sense of self, food addicts perceive themselves as being the disease rather than as just having a disease. It seems to them not only that they are just hungry when they are actually in a state of craving but also that the decision to eat was freely chosen by their inner most and true self. Thus, even when asked to consider that they might be powerless over food, this does not seem to be true to them. They see themselves as simply not wanting to quit when in fact they are acting out of distortion of will.

In this false self consciousness, the food addict retreats into isolation. Typical behaviors of the food addict at this stage include eating alone more often, not answering the telephone when eating, eating while reading or watching television, even skipping social functions or work responsibilities to binge.

Because there are more and more negative consequences to isolated binging and because the food addict sees these as free will choices, this leads to all sorts of critical judgments about self: “”I’m stupid,” “I’m bad,” “I’m defective, “ “I’m sinful,,” “I’m incompetent,” and so forth.

Eventually, a sense of shame develops which is so deed that this feeling itself becomes a reason to eat: “If there is something wrong with me, I might as well eat; ” “If I’m incompetent, there is nothing I can do about it;” “If I’m immoral, I deserve the negative consequences.” The negative concepts of self become a part of the disease thinking which in turn lead to more eating and more negative results.

For the food addict who is in this downward spiral, begins to see this aspect of addictive experience as almost all that is real. In fact, in the later stages of food addiction, life becomes mostly a cycle of eating to satisfy a craving, an ever short period of satisfaction and numbing of the pain, then further demoralization. Just occasionally, at what addicts often call a “bottom,” the physical, emotional and spiritual pain is so severe that the food addict is able to see the truth, that they are power-less over food, their food addictive thinking and the disease process.

What can food addicts do at this stage? On the one hand, few are able to do anything by themselves. On the other hand, with another recovered food addict or someone to help them find a spiritual path, it is relatively simple to find a way out.

Those who are stably abstinent from their own binge foods and who have worked seriously on their own emotional and spiritual recovery can help even the most progressed food addicts to see when they are “in their disease.” or false self. Those in recovery quickly discern the irrational thinking and denial of a food addict new to recovery. The experience of rigorous physical abstinence makes it possible to notice one’s own experience of false staving, and this basic insight allows a gradual discernment of one’s own false thinking about food. It also gives the recovered food addict a healed intuition about the thinking and behavior of other food addicts.

So, the simple truth is that when a food addict’s disease has progressed to the point that they are at least sometimes confused as to what is true about their experience in relationship to food, they need help beyond themselves. One of the most obvious ways to get this support is to find other food addicts who have had just the same problem and ask them to help.

There is more, though, that we can say that is helpful in knowing whether one is caught inside one’s own food addicted mind. There are simple guidelines for food addicts in relapse to know whether or not they are in denial:

  1. First, are you free from guilt and shame about your eating and out-of-control behavior with food?
  2. Second, do you yourself see your powerlessness over food, and are you able to describe it being very specific about the food and about your addictive thinking about food?
  3. Third, do you see that you need a Power beyond yourself in order to be food abstinent, and are you willing to surrender to this reality?

If you answer each of these questions “Yes,” then you have taken the first step in seeing your own deepest food addictive denial. If not, then you may have serious spiritual work to do.

© Phil Werdell, M.A.

Anorexia & Food Addiction

© Phil Werdell, M.A.

The common image of food addicts is that they are overweight. A majority of those for whom the disease of food addiction has progressed certainly are obese – and/or morbidly (i.e., life threateningly) obese. Yet there are many food addicts who are a normal weight. Some of these healthy looking food addicts are bulimic. Others just have a metabolic system that keeps them appearing “normal,” even when they are bingeing abnormally. There is also a small but important group of food addicts who are dangerously thin. Most of these are food addicted and anorexic. Even some overly thin folks who are unable or unwilling to eat enough to come up to a healthy weight are also chemically dependent on food and have a history of progressive food addiction which much be addressed before they can have a full, healing long-term recovery.

How can an anorexic know if they are food addicted?

One obvious sign of food addiction is a history of out of control eating – usually bingeing, sometimes purging and almost always becoming overweight by traditional medical standards.
Restricting food begins as a way of compensating for a binge. Then regular fasting becomes a strategy for periodic weight loss after gaining by overeating. It is only as the anorexia progresses that such a person stays thin – and then becomes unhealthily thin – and begins to “look like an anorexic.”

A second indication that an anorexic is also chemically dependent on food is a desire to eat a lot more than they are eating – especially sweets and “junk foods” – as well as the strong desire to control their weight and body size by undereating. If there is a history of craving sugar, flour, and fat, this is a reason to consider the possibility of food addiction as a second diagnosis. These cravings can be current, but do not have to be.

All anorexics obsess about their bodies and greatly fear getting fat. It is less known that many anorexics also obsess about food. This often manifests as calorie counting, a list – often quite long – of “bad food” and a preoccupation with eating in a way that they can control what they do – and more importantly, do not – put in their mouths. What is less common is a constant or frequent obsession about wanting to eat sweets, snack foods or just “more” of any food. Especially if this sometimes gets so strong that it seems like “I just have to have it,” there is good reason to assume this person is food addicted as well as anorexic.

Of course, anorexics should use the whole range of diagnostic indicators of food addiction to ascertain if they are chemically dependent on food. There are the traditional indicators of food addiction denial: lying to others and themselves about what they eat, breaking their own moral code – e.g. stealing food or stealing to get food, seeing their powerlessness over food progress over time, feeling numb or high or drugged after eating, experiencing symptoms of detoxification – e.g. anxiety, depression, sleepiness, inability to sleep – when eliminating a binge food altogether. Few food addicts have all of these symptoms; at least they are not able to see them in their own experience at first. So, just one or two obvious signs of food addiction are enough to at least investigate further.

Anorexia is traditionally understood as a psycho-social disorder. It is now also being treated effectively as an addictive disease. (See text at Anorexics and Bulimics Anonymous). In this view of anorexia, the drug which becomes addictive isthe illusion of control. Whether being treated as a primarily psychological problem or a more complex addictive illness, the anorexic needs to learn to counter irrational thinking about body image and food and address unresolved trauma from the past. Many – if not most – anorexics that are treated in either modality are not food addicted.

Those who are chemically dependent on food can best be seen as having more than one illness. Those who are addicted need to abstain from their food drug(s) of choice as well as become willing and able to eat more food and often a wider variety of foods. If they have a history of bingeing on sugar, it is questionable for them to try to learn to eat sweets in moderation.

On the other hand, many anorexic food addicts who were addicted to fat, go to the extreme of not eating anything with fat in it at all. Since everyone needs some fat in their diet to enable them to digest other foods, these food addicted anorexics do need to learn to eat fat in moderation. The recovery of those with both food addiction and anorexia can be quite complicated and difficult.

In general, it is our experience that people with advanced anorexia and food addiction need more time and support in recovery than those who are only chemically dependent on food. Anorexia has its own denial, and the food addicted anorexic can have special problemS breaking food addictive denial. The illusion of control in anorexia – and often bulimia – makes it doubly difficult to accept real powerlessness over food. There are also many cases of people who were anorexic and bulimic in their youth and then became compulsive overeaters. If they are food addicted, they often need a great deal of help to break through their biochemical food dependent denial.

There are mutual support fellowships for pure anorexics. There is also a growing welcome for anorexics and bulimics in the oldest and largest food related 12 Step fellowship, Overeaters Anonymous (OA). There are also Twelve Step fellowships separate from OA that focus just on people with eating disorders; besides Anorexics and Bulimics Anonymous (ABA), there is the newer Eating Disorder Anonymous (EDA).

All of these fellowships tend to suggest food plans which include all food in moderation, though ABA very specifically supports those who abstain from specific foods, i.e., food addicts.

This is the key to those who are dually diagnosed with anorexia and food addiction: they need to surrender control of both their obsession with not “getting fat” and their specific food drugs. They need to learn to not restrict and to not overeat. They need to eliminate and detoxify from food(s) upon which they have become chemically dependent and deal with unwanted feelings and irrational thoughts that lead them to starve themselves. Moreover, as physical recovery begins, there are always deeper emotional and spiritual issues which, if not dealt with thoroughly, can lead to relapse down the line.

How SHiFT Helps Food Addicts

Food addicts come to SHiFT because they are aware of their food addiction and know SHiFT’s history of support for food dependency recovery. Some are often surprised when they discover they are also anorexic. It is hard for this group to understand that all anorexics are not dangerously thin. In fact, we find that there is at least a little bit of anorexia under most progressed food addicts. It is the part of their illness in which they have spent so much time trying to control their eating. It is the part of their recovery which stays rigid and perfectionistic long after the first year of abstinence. The lack of joy and true happiness in this “controlled physical recovery” leads many to relapse after a few years.

More difficult is the anorexic food addict who is dominated by the restrictive side of their eating disorder. For some it takes much longer than seven days – the length of the SHiFT residential Acorn Primary Intensive© – to be able eat a healthy amount and mix of food. If they are willing to try, we will often accept them and support them as long as they do not need hospitalization or direct medical supervision.

One suggestion we have for those who think they might fit into this category is to read the first 137 pages of Anorexics and Bulimics Anonymous; if you are willing to try this approach to dealing with your anorexia and abstain from your likely addictive foods, the Primary Intensive© will probably be helpful.

Cross Addictions

© Phil Werdell, M.A.

The Problem of Cross Addictions

Let us begin by looking at the easier part of the problem: food addicts who are cross addicted and already abstinent and in recovery from other chemical dependent substances. Three of those most frequently encountered are nicotine, alcohol and street drugs.

Smokers and Food Addiction

A very common issue of cross-addiction that is usually not talked about in these terms is “shifting” from nicotine to food as a drug of choice. We see it all the time. Someone works hard to put down cigarettes. It might take more that one, maybe as many as a dozen attempts. As soon as there is a period of abstinence from cigarettes, though, the prior smoker starts to gain weight. Some go back to smoking to keep cigarettes as a part of their weight control regime. If they have a commitment to their health that moves them to stop smoking again, then their weight becomes a problem again.

While there was still an argument about whether or not cigarettes were addictive – much less dangerous to your health, almost no one noticed the cross addiction “shift” from nicotine to food. With the major changes in consciousness and in public health policies about smoking, there are more and more people getting the support they need to stop smoking. Health professionals working in chemical dependency treatment are more likely to be conversant with the addictive nature of nicotine. We can now see that the weight gain that sometimes follows abstinence from cigarettes may be a cross addiction.

One small fact that is seldom mentioned is that tobacco is often cured in sugar. This makes it a natural entry-level drug for sugar addiction.

Alcoholics who are also Food Addicts

There are many who come to Overeaters Anonymous (OA) from other 12 Step programs, especially Alcoholics Anonymous (AA), that have substantial time sober from alcohol and other addictive substances. In fact, they often come to OA or one of the other food–related 12 Step fellowships because they find themselves reacting to food just like they had reacted to alcohol or their drug of choice many years before. In early recovery, many AA’s are often counseled by their sponsors to not worry if they are craving sugar or gaining weight. In fact, the recovery text, Alcoholics Anonymous suggests that a newly sober drinker carry come candy in their pockets to help relieve urges to drink. Especially if their chemical dependency on alcohol or drugs had been progressing for years, it certainly looked like drugs and alcohol could killed them long before food.

Food addiction also progresses as a chemical dependency, so the dangers of addictive eating can easily increase over time. Many recovering alcoholics first try to work on their eating within AA. just as they work on other life problems using the 12 Steps, and many are successful.

Many are not. Often they will identify sugar, flour or fat as a substance that is acting in their bodies like a narcotic. They do this just because of their long time experience using and recovering from alcoholism and/or drug addiction. However, when they decide to abstain from their self-assessed food addiction, they are not able to do it. It is difficult to move from the “all or nothing” model of no alcohol to a structured eating plan. This is doubly a problem for those who have already decided to recover from nicotine addiction.

This group has special problems, some of which are addressed in Judi Hollis’s excellent publication When AA’s go to OA. It is humbling to come into a new fellowship with years of sobriety in AA and have to start recovery over from the beginning in OA. It is confusing when the AA newcomers observe a large variety of food plans and perspectives on abstinence in OA.

We think there is another problem: for many alcoholics: food is an earlier and primary addiction. What is alcohol but grain and a form of sugar? The most common addictive foods are sugar and flour. A majority of these sober alcoholic food addicts can quickly remember using and abusing food years before they picked up alcohol.

Not only does this mean that their detoxification from food is likely to be worse than their detox from alcohol, it means that they have to deal on a whole new level with mental-emotional and spiritual developmental problems that began earlier.

It is often said that emotional development stops – or is at least serious curtailed – from the age that a person begins using a substance addictively. Thus, early developmental issues such as trust vs. mistrust must be revisited as one begins to recover, and there are often very basic emotional skills which were stunted in infancy and now must be developed as an adult. When raw emotions came up in early alcohol recovery, one could still use food to cope. Now, for many, there is nothing.

It is true that when the alcoholic says they don’t drink, they do drink water, fruit juice, coffee, tea and other beverages. This is more like the food addict’s abstinence: no binge foods, but other foods are OK. However, the person addicted to food in volume does have a qualitatively different problem being abstinent. This is why many food addicts commit their entire meals daily – sometimes even meal by meal – to their sponsors.

Food abstinence is different from abstinence from other substances in that the food addict still needs to eat several times a day. It is not possible to just “not be around food” the way it is possible to avoid alcohol or smoking.

Drug Addicts who are also Food Addicts

Some alcoholics put on a “beer belly,” but there are few heroin or cocaine addicts who are overweight. So, it is often a surprise to a recovering drug addict when they cross over and start eating and putting on weight out of control. As we shall see, foods can break down in the digestive symptom into bio-chemical compounds that are similar to the opioids in narcotics. The dosage and effect of using morphine, heroin or cocaine is much stronger, but once these are out of their blood, some physically sober drug addicts can get high and chemically addicted just by using more and more food.

Not all narcotics users get hooked on food when they become drug free. In fact, a majority do not, at least at first. For those who do, though, this is a very serious problem. Not only do they then engage all the medical risks of obesity – and of bulimia and anorexia with they try to purge or restrict to control their weight, but active food addiction can be a trigger back into hard drugs.

Then there is the case of marijuana. While there is an argument yet about whether or not this drug is physically addictive, it clearly can be psychologically addictive, and for many it triggers the well known “munchies” and minimizes resistance to a variety of acting out behaviors. For the food addict whose disease is advanced, this is a serious problem. Often they cannot stay food abstinent unless they abstain from marijuana, too. For those unwilling or unable to do this, this means they are likely to eat, and addictive eating for a food addict means to die.

Food Addicts Not Yet Abstinent in Another Addiction

There is a different – and equally important – set of problems that occur when a food addict is actively using other substances or processes while being abstinent from food.

For some food addicts, this is not a large issue. For example, many food plans ask for abstinence from alcohol or caffeine. There are food addicts who can tell immediately that they are not normal drinkers of alcohol or caffeine, but they are not as important “food drugs” for them as, possibly, sugar, flour, fat or volume. So, these food addicts are quick to accept abstinence from liquor and coffee.

Other food addicts are much more attached to these other edible addictions. They are, at first, not willing to even consider putting down alcohol or caffeine. As they do consider the possibility, they are in the stage of bargaining. “I’ll just have an occasional glass of wine with diner.” “I need my cup of coffee in the morning.” If and when they do become willing to abstain, they fall off the wagon on this one food substance over and over.

For some food addicts this is a grave problem because alcohol or caffeine – another addiction – can turn into a “gateway drug” leading to serious food bingeing and long periods of relapse.